From:Insight Family Practice

8686 S 1300 E, Suite L102-104
Sandy, UT 84094
US
Phone: (801) 997-0368
insightfamilypractice@gmail.com

To:Anna Sandberg

3997 S Rosemary St
West Valley City, UT 84120
US
Phone: (385) 603-6099
Invoice # 16974
Issued on August 10, 2026
Due on August 24, 2026
Balance Due $33.19

Task 1.0

Owed 4/14/25 Appointment (co-insurance)

Rate

$17.88

Qty

1

Amount

$17.88

Task 2.0

Owed 5/12/25 Appointment (co-insurance)

Rate

$15.31

Qty

1

Amount

$15.31

Total Owed

Info & Notes

Thank you; we really appreciate your business.

Terms & Conditions

We do expect payment within 21 days, so please process this invoice within that time. There will be a 1.5% interest charge per month on late invoices.

Balance of $33.19 is Overdue Make a Payment

Make a Payment

Please enter your payment information to pay this invoice. A receipt for your records will be sent to you. Thank you very much!

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Invoice History

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